Use Of No Suicide Contracts With Mentally Ill Patients

Suicide is the second leading cause of death for people between ages 15 – 34. Now, the question is where’s the effort to stop it? If 90% of people who commit suicide have a mental illness,

hospitals, psychiatric hospitals, and hospitals claiming “other specialty”. The criteria for the study were previous suicide attempts, drug abuse, and being admitted to a hospital for suicidality. Whether or not the hospitals conducted a mental health assessment was not a requirement for participation in the study, but this factor was considered.

I believe that teens, in agreement with their parents should have the right to medicallyassisted suicide. Cassandra C., 17 years old, was diagnosed with lymphoma which is a cancerin the lymph system. According to doctors, this is a highly curable cancer and gave her an 85%chance of survival. She didn’t completely rule out chemotherapy, but she wanted time to findother alternatives. Because she and her parents did not seek immediate treatment, socialservices became involved and, after an emergency legal appeal, the state's high court saidCassandra could be forced to receive the therapy. This case brings up arguments about theright to refuse treatment and also the right to die. “Cassandra’s case is even more specialbecause many laws are aimed

Some states and countries allow physical assisted suicide to patients who are deemed terminally ill. Every year thousands of patients are place in hospice care, only to be given an estimated time frame of how long they have to live. During this time, these patients are suffering from terminal diseases and conditions. In 1994, Oregon became the first state to write the Death with Dignity act into law. For those suffering from terminal illness this was great news. However, this controversial law would soon be repealed in 1997, only to be reinstated in 2006. Ever since then, other states have exercised their rights to adopt similar laws and others have not due to the controversy surrounding this topic. Although some states have endorsed this topic,

Congress has responded to the public outcry for action in the face of unacceptable suicide rates and has passed multiple pieces of legislation aimed at correcting the problem. The 2007 Joshua Omvig Bill directed the VA to develop “data systems to increase understanding of suicide among Veterans and inform both the VA and other suicide prevention programs” (Veterans Affairs, 2012, p. 7). In 2015, President Obama signed the Clay Hunt Suicide Prevention for American Veterans Act into Law, requiring the VA to “make it easier for veterans to find mental health resources, do more to recruit and retain professionals” and to increase “accountability for the government programs serving them” (Baker, 2015, para. 2). This recent legislation tends to be

The areas of concern from Justin’s MHA are his suicidal ideation, depressive symptoms: social withdrawal, seclusion in room, unemployment, weight loss, strong feelings of worthlessness, lack of energy and motivation, decreased appetite, difficulty sleeping and completing tasks of daily living, in addition to his unmanaged diabetes which have all been occurring simultaneously for a prolonged amount of time (beyondblue 2010; Hungerford et al. 2012, p. 185). As a national safety priority in care, his suicidal ideation, associated with feelings of hopelessness and worthlessness should be prioritised so that Justin will not act on these ideas or harm himself (National Mental Health Working Group 2005, p. 13). Ultimately, by establishing a therapeutic relationship, daily assessments of suicidal intent with active encouragement of informing a staff member when the urge to act upon suicidal thoughts are present as well as encouragement to explicitly speak about his feelings associated with such behaviours, identification of his strengths, resources and support systems and the administration of prescribed medication, with consideration of Justin’s cultural background, is of utmost importance in Justin’s care plan (Berman et al. 2014, p. 1189; The Royal Australian and New Zealand College of Psychiatrists 2009). Effectively, ensuring that a holistic and recovery-based framework which involves the care planning not exclusive to his

As consultants we all have the responsibility to treat every client with the respect, compassion, and nonjudgmental to be able to provide good sessions that will benefits the clients’ positive outcomes. When a client’s come to an office seeking for help, the counselors needs to remember and be able to put in practice the suicide assessments and created interventions plans according to the steps of “SCATT” which stands for “Stay, Consult, Apprise, Terminate, Truncate and Transport”. According to Gerald A. Juhnke, Gerald B. Juhnke, and Pei-Hsuan Hsieh (2012) states that by 2009 the National Center for Health Statistics found that more than 36,000 of American population committed suicide.

“Suicide is a huge, but largely preventable, public health problem, causing almost half of all violent death in the world, resulting in almost one million fatalities every year and economic costs in the billions of dollars, according to the World Health Organization” (quoted in Pompili & Lester & Innamorati & Casale & Girardi, 2009,1155). According to Kupers (quoted in Heuy & Mculty, 2005, 490) “in the United States, suicide rates among prison inmates are higher than in the general population and suicide accounts for more than half of all deaths in custody”. The “rates of suicide…within prisoner populations have generally increased over the past few decades” (Perry & Olason, 2009, 385). Unfortunately,

If there's one everyone can count on, it's the fact that everyone will get sick. However, there are more serious and dire cases that most people don't prepare for. It's one thing to come down with the common cold, experience a rash or fracture a small bone. It's another thing to deal with a life-altering disease like cancer or a debilitating injury like a broken leg. Between treatments, physical therapy and medications, you can easily find yourself deep in financial ruin. The financial factor can debilitate a lot of people. If you find yourself in a situation like this, don't get discouraged. There is hope. Consider trying these four ways to pay for a medical emergency when it happens.

As consultants we all have the responsibility to treat every client with the respect, compassion, and nonjudgmental to be able to provide good sessions that will benefits the clients’ positive outcomes. When a client’s come to an office seeking for help, the counselors needs to remember and be able to put in practice the suicide assessments and created interventions plans according to the steps of “SCATT” which stands for Stay, Consult, Apprise, Terminate, Truncate and Transport. According to Gerald A. Juhnke, Gerald B. Juhnke, and Pei-Hsuan Hsieh (2012) states that by 2009 the National Center for Health Statistics found that more than 36,000 of American population committed suicide.

This is 51 year old WF. Patient has several issues. Patient's mental healthe is followed by JBS. Patient's Current medications are Zertec, prilosec, topamax, effexor. Patient's been out of her zyrtec, prilosec for the past 3 weeks. Patient states her GERD is back. Sharp burning sensation, this is a chronic issue for the patient. Patient aslo have a degenerative joint of Right knee, patient reports pain is 5-6/10 daily, acceptable pain isd 3-4/10. Patient brought medical record and chart's been reviewed. Patient is to comeback in one week for additional follow up. Patient states her depressive moods are well managed with current plan of care by JBS. Patient denies thoughts of suicide or homicide. Patient has a history of attempted suicide.

In assessing suicidal risk, the following three factors can be useful towards ethical thinking: Indirect statements and behavioral change, living alone, and depression. Indirect statements and behavioral change can be useful towards ethical thinking in assessing suicide because the client who is indirectly making statements such as “This time next year I won’t be here” or “I can’t take the pain any longer” may be stating the reason he will no longer be here anymore or can no longer take the pain is because suicide may an option at that point. Behavioral change can be useful in assessing suicide risk because it allows the therapist to observe the change. An example being a client who was once known as the talkative type going 100 miles an hour

Given that one may have a mental disorder, as a guardian or parent, one must make a decision; send a loved one to a psychiatric unit in order to get help, or choose not to get help. However, what if one refuses treatment? Would this be considered a violation of the medical rights? Some say that forcing treatment has caused a traumatic experience for them because of undesirable practices being used. They are deemed incapable of making decisions for themselves when it is in regards to their own mental health, so presumed consent is used when it comes to involuntary admission. Admission to a psychiatric unit gives a sense of loss, especially of autonomy and individual liberty (Feiring & Ugstad, 2014, p.2). In order to prevent that, one must remember that they are human beings too. There are other alternatives to mental health care and with the creation of alternatives such as support groups or less restrictive treatment programs, it may help with the patient agreeing with treatment instead of restricting it (Cameron, 2007). However, there are also positives in involuntary admission. It is done in order to prevent those who are at higher risk of suicide from killing themselves. Those may not choose to seek help, but loved ones may notice differences, and the only way to get better is to get treated. With that, it increases autonomy so that patients are able to make their own decisions. In the beginning they may be seen incompetent, but receiving treatment increases competency

According to Rudd, Joiner, Brown, Cukrowicz, Jobes, Silverman, and Cordero it is vital to identify the suicide risk through treatment. The authors of the same article identify correct treatment theories to treat suicidal clients. This clinician would use Cognitive Behavioral Therapy to help the client

In the case of Kiara, we learn what a professional therapist should never do and actions to avoid. Her actions towards her client were negligent and forceful. Her failure to follow up with her client who showed suicidal ideation is unethical, unprofessional, and illegal. It is important for therapists to provide informed consent forms at the very beginning of their sessions with their clients and make sure that their clients fully comprehend what they will be signing. We must never ask our clients to sign consent forms weeks after initial intake. This can be very dangerous to the professional and could potentially ruin our client’s lives. In the following essay, we will review Kiara’s case and the steps she could have taken to conduct a professional